Sexual Dysfunction Evaluation in Candidal Balanoposthitis: A Single Centred Observational Study
Objective: A common genito-urinary infection known as Balanoposthitis presents with mild symptoms like itching or severe complications such as phimosis, ulceration of glans, and foreskin. It can result in four types of sexual dysfunction including Disorder of sexual desire, Disorder of erectile dysfunction, Disorder of satisfaction/premature ejaculation, and Disorder of orgasm.
Materials and methods: An observational clinic study including 50 patients diagnosed with Candidal Balanoposthitis based on KOH and clinical findings were recruited and evaluated for sexual function using a standardised questionnaire.
Results: The results demonstrated that sexual dysfunction in patients with Candidal Balanoposthitis is a common entity encountered in STI clinics and should be addressed properly as any deficiency in any aspect of sexual health of a patient can lead to emotional and psychological disability impacting the overall quality of the life. The factors like advanced age, Diabetes Mellitus, and poor hygiene measures of genitalia can increase the incidence of candidal Balanoposthitis as well as sexual dysfunction.
Conclusion: Candidal Balanoposthitis, a common cause of sexual dysfunction in elderly population takes a toll on emotional and psychological health and certain modifiable factors like diabetic control and hygiene can prevent recurrent fungal infections.
1-24; quiz 25-6.
2. Chen J, Zhou YX, Jin XD, Chen SW. Expression of interleukin-2 in Candidal Balanoposthitis and its clinical significance. Chin Med J (Engl).2011 Sept; 124(17): 2776-8.
3. West DS, Papalas JA, Selim MA, Vollmer RT. Dermatopathology of the foreskin: an institutional experience of over 400 cases. J Cutan Pathol. 2013 Jan;40(1):11-8.
4. Moyes DL, Wilson D, Richardson JP, Mogavero S, Tang SX, Wernecke J, Höfs S, et al. Candidalysin is a fungal peptide toxin critical for mucosal infection. Nature. 2016 Apr 7;532(7597):64-8
5. Rajiah K, Veetill SK, Kumar S, Matthew EM. Study on various types of infections related to balanitis in circumcised or uncircumcised male and its causes, symptoms and management. Afr J Pharm Pharmacol 2012; 6(2): 74-83.
6. Litwin MS, Nied RJ, Dhanani N. Health related quality of life in men with erectile dysfunction. J Gen Intern Med 1998; 13(3):159-166.
7. Nimbi FM, Tripodi F, Rossi K, Navaro-Cremades F, Simonelli C. Male sexual desire: an overview of biological, psychological, sexual, relational and cultural factors influencing desire. Sexual Medicine Reviews 2020; 8(1): 59-91.
8. Yafi FA, Jenkins L, Albersen M, Corona G, Isidori AM, Goldfarb S, et al. Erectile dysfunction. Nat Rev Dis Primers 2016; 2: 16003.
9. Aruajo AB, Durunte R, Feldmann HA, Goldstein I, McKinlay JB. The relationship between depressive symptoms and erectile dysfunction: cross-sectional results from Massachusetts male ageing study. Psychosom Med 1998; 60:458-465.
10. Sbrocco T, Weisberg RB, Barlow DH, Carter MM. The conceptual relationship between panic disorders and male erectile dysfunction. J Sex Marital Ther 1997; 23:212-220.
11. Pappagiannopoulos D, Khare N, Nehra A. Evaluation
of young men with organic erectile dysfunction. Asian J Androl 2015; 17(1): 11-6.
12. Srefogler EC, McMohan, Waldinger M, Althof S, Shindel A, Adaikan G, et al. An evidence based unified definition of lifelong and acquired premature ejaculation: report of the second international society for sexual medicine adhoc committee for the definition of premature ejaculation. Sex Med 2014; 2(2): 41-59.
13. Rosen, R.C., Nelson, C.J. Validated Questionnaires in Male Sexual Function Assessment. In: Mulhall, J., Incrocci, L., Goldstein, I., Rosen, R. (eds) Cancer and Sexual Health. Current Clinical Urology. Humana Press. 2011: 339–349.
14. Wylie K, Kennedy G. Sexual dysfunction and the ageing male. Maturitas 2010; 65(1):23-7.
15. Korfage IJ, Pluijim S, Roobol M, Dohle GR, Schroeder FH, Essink-Bot M. Erectiledysfunction and mental health in a general population of older men. Journal of Sexual Medicine 2009; 6(2): 505-12.
16. Bhasin S, Enzlin P, Coviello A. Sexual dysfunction in men and women with endocrine disorders. Lancet 2007; 369(9561):597-611.
17. Nickel JC, Narayan P, Mckay JDoyle C. Treatment of chronic prostatitis/chronic pelvic pain syndrome with tamsulosin: a randomised double blind trial. J Urol 2004; 171:1594-7.
18. Selvin E, Burnette AL, Platz EA. Prevalence and risk factors for erectile dysfunction in the US. Am J Med 2007; 120:151-7.
19. Celeveringa FG, Muelenberg MG, Gorter KJ, Donk Ven Den M, Rutten GE. The association between erectile dysfunction and cardiovascular risk in men with type 2 diabetes mellitus in primary care: it is a matter of age.
J Diabetes Complications 2009; 23:153-9.
20. Chen L, Shi G, Huang D, Li Y et al. Male sexual dysfunction: A review of literature on its pathological mechanisms, potential risk factors, and herbal drug interventions. Biomedicine & Pharmacotherapy 2019; 112:108585.
|Issue||Vol 17, No 1 (March 2023)|
|Balanoposthitis Candida Albicans Sexual Dysfunction|
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